James Lester Weaver Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

35801 Issued in CA

Practice address

1624 Franklin St
Suite 320
Oakland, CA 94612-2882

Phone

(510) 452-0331

Fax

(510) 452-5085

NPI assigned

Oct 5, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1881882660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 FRANKLIN ST",
            "address_2": "SUITE 320",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122897",
            "telephone_number": "510-452-0331",
            "fax_number": "510-452-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 FRANKLIN ST",
            "address_2": "SUITE 320",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122882",
            "telephone_number": "510-452-0331",
            "fax_number": "510-452-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JAMES",
        "middle_name": "LESTER",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra R. Weatherby, MD
• Allison Weatherly
• Brittania Weatherspoon, M.A.
• Candise Charmaine Weaver
• Emily S Weaver, MFT
• Sebastin Zachery Weaver
• Deborah Lynn Webb, R.D.
• Garrett Douglas Webb, PA- C
• Georgea Webb
• Karen Stedman Webb, NP

• Dentist in Oakland, CA
• Providers in Oakland, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.